HomeMy Public PortalAbout6206 KAUFFMAN AVE_Plumbing__ 76A'687•C'E#817'"9P63 • s / �L.�G—�—r /.3�f
APPLICATION FORPLUMBING. PERM)T
COUNTY OF LOS ANGELES.
DEPARTMENT OF- COUNTY ENGINEER
BUILDING AND SAFETY DIVISION TADDRESSDING .'
• - - JOHN A. LAM IE. CouNTY ENGINEER' -'-fs2IO`Kauffman St.
WILLIAM A. JENSEN, SUPT OF BUILDING
LITY�'Tem le Cit 'California
FOR•APPLICANT TO FILL IN EST S ST.
NUMBER - FIXTURE CR,ITEM EACH, FEE
owNER Mrs Eu ene Hartlett .
WATER CLOSET 31.25 '� 50
-MAIL•. .
BATH TUB 1.25 1 25 ADDRESS. "
SHOWER 1.25 CITY- TEL. NO.,
LAVATORY' :' 1.252 54 CONTRACTOR-van Curen Plurbbi Inc.'
1' SINK 1.25 1 25 ADDRESSP.O. Box 5'26 425 W...Chestnut
nrsHWAs1iER l.as CITY Monrovia TEL. No.359:7134
ATE X
LAUNDRY TUB 1.25 qq REGISTRATION NO. 191691 COUNTY ❑
CLOTHES WASHER - 1.25 'l 35 •DISTRICT NO. GROUP ZONE PROCESSEDBY
WATER'HEATER _ 1.50 1 50 <_5 62 7- .z S`�c
. AL a
GAS SYSTEM OUTLETS 1'� 1 WASTE Al ROVAL O'•
OUTLETS OVER 5 PER-SYSTEM .30 INSPECTION RECORD n U
Th X
' - AP �9.Yj'P. S DATE INSPECIPWS SIGN U
PERMIT $ 2 00 UNDE WORK
ROUGH PLUMBING
-TOTAL FEE' GAS PIPING W
I HEREBY ACKNOWLCDGE•THAT I HAVE READ'•THIS-APPLICATION ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GASVENT -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT, 1 -AM -PROPERLY-REGISTERED •ANDf OR PLUMBING FIXTURES `G��v�"a�� , t �-f �-••,�n- -
LICENSED,AS REQUIRED BY LOS,ANGELES COUNTY AND STATE OF o ' �.•p'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER-OF,AND,INTEND TO GAS TEST 149 `
RESIDE IN, THE ABOVE D SCRIBED-RESIDENTIAL P-ROPERT•Y UTILITY CO NOTIFIED
.SIGNATURE 'Y
OF PERMITTEE
FINAL
VALIDATION ROBERT A�WOOD
cK M o CASH SUPERVISING MECHANICAL ENG'R
F �' a76jx9 :�iA 1 .5 U j N
76A667 -CE.#'817 2-62 TEMPLE CllrV
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES-
DEPARTMENT OF COUNTY ENGINEER`
BUILDING AND SAFETY DIVISION BUILDING /
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS (p
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL q
' BATH SUB 1.25 ,ADDRESS dl--
CITY�� NO •-�
SHOWER 1.25
LAVATORY 1.25 CONTRA OR
SINE I.z5
ADDRESS
DISHWASHER 1.25 CITY C TEL. N . sT
LAUNDRY TUB 1.25 R GIS RAT?N �
NO. O 7 7 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1'M INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM •90 INSPECTION RECORD
d
O
U
O
r-
U
W
O.
Vf
z
APPROVALS DATE INSPECTOR'S SIGNATURE -
PERMIT 5 2 00 UNDER SLAB WORK
_ c� 'ROUGH PLUMBING
TOTAL FEE, 5D GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DE RIB RESIDENTIAL ROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATIOPP ROBERT A. WOOD
CK M O CASH SUPERVISING MECHANICAL ENG'R
i
. , Lf -2 3. AUG 6 5D. 3.5 0-